Provider Demographics
NPI:1669576963
Name:UNIQUE HOME HEALTH CARE INC
Entity type:Organization
Organization Name:UNIQUE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:CUTNO
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-293-9230
Mailing Address - Street 1:5525 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6093
Mailing Address - Country:US
Mailing Address - Phone:225-293-9230
Mailing Address - Fax:225-293-9747
Practice Address - Street 1:5525 S SHERWOOD FOREST BLVD
Practice Address - Street 2:STE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6093
Practice Address - Country:US
Practice Address - Phone:225-293-9230
Practice Address - Fax:225-293-9747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1034251E00000X
LA1114251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1406767Medicaid
LA1406767Medicaid